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PERMIT <br /> � .CE-sY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66 _ <br /> Crystal Bay, Minnesota 55323 Permit Number: , <br /> (612) 249-4600 Date Issued: ,_,;_,.�,.s.:,, <br /> SITE ADDRESS: <br /> _ _ _ . _-- =-- _ .:._ ..� <br /> DESCRIPTION: <br /> _ ...._ i �=}r,:i�r'... .. ..._�. . :;.i�,W t�:� —�-,.� S—� I <br /> _..... .._. _. �'.�,i.�rs:' . ._ F:: _ . , , ... - t ��.�.� . _'•;'.i„�3;;,� {.._. . , <br /> _�<yGt�::;' ;:{ la,i;.� .t'�i� �Jii;'�:: , ..C�•=- r;:`.. .�_� �F-?�__.. .... _: `..`_y � <br /> — _ } —; --/�i'{—i'13E�1�•a <br /> �I <br /> REMARKS: <br /> FEE SUMMARY: <br /> _ _..._._. �_�_._ . _. . _ .. <br /> �_� - � .:�:�:�:-._ y. - <br /> _ _��- _.. ,_ __ ___._._.___.__ .___ <br /> ;w��t.�:i . os�_ a:"_;� ���-: <br /> � <br /> CONTRACTOR: __ - _ __ OWNER: <br /> ..�. ;; �� �. - . � _ <br /> ._::: �_;_:; :,: ,� _ _ _. <br /> _ ._ _.. .___ _ W:E;�y�. _:��:���:�=� . ._ _ , . �`::�i <br /> _. ,r . .: �: ;;, - ;.. <br /> _ <br /> .; . <br /> ,: . , � : - <br /> : :. ._ __ �, ; - - <br /> � r � ; . � •�. � '�'. - - ( <br /> ,_� _ -�t � � ' { . �--i. ,.f.� �r',` � st, �i� �'� _ . <br /> ._, . e _ _ ». . ... _ ._ . _. <br /> }Yit' .I : : r ..s, � .,i .� ;... r. '± } f :. _ e <br /> y ¢ <br /> � , . • �� . '• .. .. _. __'_ _ � _ .. .._ . e ,y... ..., . . � <br /> _ .. .... .. . ._ _. _.�. t'. _. __ , . ._ _ . ...�. .. .._. ,. . . � �j <br /> s:��G'Z'-,C/ �'��/ ✓ „'�1'V� ����� 1 <br /> ,i, <br /> � r <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ���� <br /> % <br />